| National Provider Identifier [NPI]: | 1043259252 |
| Last Name Of The Provider | HEARN |
| First Name Of The Provider | WILLIAM |
| Middle Initial Of The Provider | B |
| Credentials Of The Provider | DO |
| Gender Of The Provider | M |
| Entity Type Of The Provider | I |
| Street Address 1 Of The Provider | 3680 BROADWAY |
| Street Address 2 Of The Provider | |
| City Of The Provider | FORT MYERS |
| Zip Code Of The Provider | 339018005 |
| State Code Of The Provider | FL |
| Country Code Of The Provider | US |
| Provider Type Of The Provider | Diagnostic Radiology |
| Medicare Participation Indicator | Y |
| Number Of HCPCS | 296 |
| Number Of Services | 13262 |
| Number Of Medicare Beneficiaries | 5511 |
| Total Submitted Charge Amount | 1710603.08 |
| Total Medicare Allowed Amount | 431751.68 |
| Total Medicare Payment Amount | 334543.73 |
| Total Medicare Standardized Payment Amount | 327803.53 |
| Drug Suppress Indicator | |
| Number Of HCPCS Associated With Drug Services | 2 |
| Number Of Drug Services | 1330 |
| Number Of Medicare Beneficiaries With Drug Services | 16 |
| Total Drug Submitted ChargeAmount | 1865 |
| Total Drug Medicare AllowedAmount | 290.92 |
| Total Drug Medicare PaymentAmount | 228.02 |
| Total Drug Medicare Standardized Payment Amount | 228.02 |
| Medical SuppressIndicator | |
| Number Of HCPCS Associated With MedicalServices | 294 |
| Number Of Medical Services | 11932 |
| Number Of Medicare Beneficiaries With Medical Services | 5510 |
| Total Medical Submitted Charge Amount | 1708738.08 |
| Total Medical Medicare Allowed Amount | 431460.76 |
| Total Medical Medicare Payment Amount | 334315.71 |
| Total Medical Medicare Standardized Payment Amount | 327575.51 |
| Average Age Of Beneficiaries | 74 |
| Number Of Beneficiaries Age Less65 | 784 |
| Number Of Beneficiaries Age 65 to 74 | 1841 |
| Number Of Beneficiaries Age 75 to 84 | 1731 |
| Number Of Beneficiaries Age Greater 84 | 1155 |
| Number Of Female Beneficiaries | 3037 |
| Number Of Male Beneficiaries | 2474 |
| Number Of Non Hispanic White Beneficiaries | 4683 |
| Number Of Black or African American Beneficiaries | 302 |
| Number Of AsianPacific Islander Beneficiaries | |
| Number Of Hispanic Beneficiaries | 423 |
| Number Of American Indian Alaska Native Beneficiaries | |
| Number Of Beneficiaries With Race Not Else where Classified | 64 |
| Number Of Beneficiaries With Medicare Only Entitlement | 4239 |
| Number Of Beneficiaries With Medicare Medicaid Entitlement | 1272 |
| Percent Of With Atrial Fibrillation | 24 |
| Percent Of With Alzheimers Disease or Dementia | 22 |
| Percent Of With Asthma | 11 |
| Percent Of With Cancer | 17 |
| Percent Of With Heart Failure | 35 |
| Percent Of With Chronic Kidney Disease | 41 |
| Percent Of With Chronic Obstructive Pulmonary Disease | 33 |
| Percent Of With Depression | 31 |
| Percent Of With Diabetes | 40 |
| Percent Of With Hyperlipidemia | 72 |
| Percent Of With Hypertension | 75 |
| Percent Of With Ischemic Heart Disease | 60 |
| Percent Of With Osteoporosis | 12 |
| Percent Of With Rheumatoid Arthritis Osteoarthritis | 47 |
| Percent Of With Schizophrenia Other PsychoticDisorders | 8 |
| Percent Of With Stroke | 14 |
| Average HCC Risk Score Of Beneficiaries | 1.9599 |